Logan V, Barclay S, Caan W, McCabe J, Reid M
East Barnwell Health Centre, Cambridge.
Br J Gen Pract. 1996 Oct;46(411):607-8.
Lymphoedema usually develops following surgery or radiotherapy for cancer, but can also occur in advanced malignant disease or be primary in origin. Lower limb lymphoedema may present particular difficulties in diagnosis, treatment and management. All types of lymphoedema can seriously impair quality of life for those affected. This study aimed to determine the level of knowledge among primary health care team members concerning the identification and management of patients at risk of developing lymphoedema, the current treatment options available for patients with established lymphoedema, and the awareness of local services available within the Cambridge Health District. A postal questionnaire survey obtained an 84.3% response rate. Many primary health care professionals were not aware of some important issues in the prevention and management of lymphoedema. This information proved useful in enabling the specialist service to develop appropriate educational initiatives.
淋巴水肿通常在癌症手术或放疗后发生，但也可能出现在晚期恶性疾病中或原发性起源。下肢淋巴水肿在诊断、治疗和管理方面可能存在特殊困难。所有类型的淋巴水肿都会严重损害患者的生活质量。本研究旨在确定初级卫生保健团队成员对有发生淋巴水肿风险患者的识别和管理、现有淋巴水肿患者的当前治疗选择以及剑桥健康区当地可用服务的知晓程度。一项邮寄问卷调查的回复率为84.3%。许多初级卫生保健专业人员并不了解淋巴水肿预防和管理中的一些重要问题。这些信息被证明有助于专科服务机构制定适当的教育举措。
